HomeMy WebLinkAbout767-zFO~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No ...... ~..~L~ ......... Date .............................. {~f~.qJ~¢r....~ ....... 195.~....
THIS CERTIFIES that the building located at....J~.t,.~oe, ct..J¥.S..]~t~.¢e, uk..A.~e ................ Street
Map No....~ ............. Block No .....X~c. ........... Lot No..~¢~c......~.~ahere..[~.~n¢.~....~..~, ............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
........................ ~T.~L~t......,~. ............. , 19.5.9...., pursuant to which Building I~ermit No ..... ~...?~.~ ..............
dated ......................... ~T.~....,1./~ ............ , 19.5g..., was issued, and conforms to all of the requirements
of the applicable provisions of the law. Zhe occupancy for which this certificate is issued is ..............
............. . .~.~.$~.t,.e....o..~.e...~'~.~...c~.e..Z.~ ~..n. g ............................................................................................
This certificate is issued to ...... ~r/~,~Jl~,~fJ~,....~J~ .............. (.g.~el~). ....................................................
(owner, lessee or tenant)
of the aforesaid building.
FOI~M NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 767, z
Date ...................................... ~.!~.Y.....~f~ .... 19 .~.9....
Permission is hereby granted to:
.... ~.~e~ ..Z.~ .~a~ ~-...]f~ ..................................
to ...]Btii~,.,~n.~¢~iJ~,on..on..az~..c~:~zi~;~in~;..~])'l~),l:i,~tg .......................................................................
at premises located ct ...Tt~O,~.~,..~/~..~t~,%~,./k~.e .............................................................................
................................................... ~'.~.-~e,.?.~- · .tr. sl~_~c~ .......................................................................... ~ .......
pursuant to application dated ....................................... ff.tL~J.....lt ........ lC~*'.9....., and approved by the
Building Inspector
Fee $.5,f}(~ ...............
Building Inspecto~ t '
GENERAL CONTRACTING
FISHERS ISLAND FARMS, INC.
REAL ESTATE
August 14, 1959
FISHERS ISLAND, N.Y.
Mr. Howard Terry, Building Inspector
Town Clerk's Office
Southold, New York
Dear Mr. Tarry:
· i
On July 14th you issued us bumld ng permit~767 for an additdon to
a cottage here owned by Mathilda WaIsh, based on our application which gave
the addition size as 10t-6" x 11t.
The owner, feeling this room would be a lit'tie small, had her son
build tbs foundation wails for an additdoo 15~ x 11t, and it is on this
foundation that we are building the addition.
Since the addition does not correspond (in size) with the dimensions
as giveo on the application~ will you kindly advise if it is possible for
you to'raake the change on the application and if not, will you advise what
we should do so that we will not be i~ violation of any rulings.
Sincerely yours,
~ISHERS ISLA~D FARMS, INC.
taroJd J. Baker
HJB:la
FOR~[ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~TOWN CLERK'S OFFICE
SOUT,OLD, N.
Examined ........... ~/'"~' .~,[.....~.~[.,... 19...~.?..
Approved ...................... v ......... ~..~ ....... 19.....~...Permit N o...~..~........~ .~...~... ' .~. i ......
Disapproved a/c ............ ~ .............. ~ ..................................
~ (Building Inspector)
Appl,cation ...........
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in part for any p,urpose whatever until a Certificate of Occupancy
shall have been granted by the Building inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuqnce of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, Ne~) York, and other applicable Laws, Ordinances or
Regulations, for the construction oF buildings, additions or alterations~,..or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable lbws, ordinances and 'regulations.
FISHERS ISLAND FARMS, INC.
(Signature of applicant, or name, if a corporation)
Fishers Island, New York
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder.
General Contractor
Mathilda Walsh
Name of owner of premises .....................................................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
"'~"~ .... (No~7'a'~l"¥[~le of corpor;~;"~'~'i'~'ri ..................
1. Location of land on which proposed work will be done. Mal~ No...~'~,~;..~p...~JR,..1. ........ Block ..................................
Street and Number Monta..~. Avenue .
State existing use and occupancy of premieses and intended use and occupancy of proposed construction:
Residence
a. Existing use and occupancy ..................................................................................................................................
b. Intended use end Residence
occupancy
3. Nature of work (check which applicable): New Building .................... Addition .....~. .............. Alteration ....................
Repair .................... Removal .................... Demolition . ................... Other Work (Describe) ....................
4. Estimated Cost ....~.1..2..0..0.:..0..0. ........................................ Fee ........ ~ ~. ,. .0. .0. ........................................................................
(to be paid on filing this application)
FEES:
umts ............................ Number of dweIling units on each floor....°.P,e. ...................
5. If dwelling, number of dwelling ' one
If garage, number of cars ..................................................................................................................................
6. If business, commerica[ or mixed occupancy, specify nature and extent of each type of use ................................
Rear ....... .2..4. ................. Depth ......1.6.'. ..................
7. Dimensions of e~isting structures, if any: Front .........
............................ Number of Stories ..............................................................................................................
Height 12' One
Dimensions of same structure with alterations or additions: Front ........ ~,4,~ .................. Rear ..... ~.4.~ ......................
.............................. N tuber of Stories ..............................
Depth ....~..1. ...................... Height 12' u One ..
8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................
Height ............................ Number of Stories ............................
9. Size of lot: Front ............. .6.0.! .......... Rear .......... ..~.8.! ............ Depth ....... ~.~.:..?.~! ........
10. Zone or use district in which premises are situated ....... R.~.~.~.~ ...................................................................
11. Does proposed constructio~ violate any zoning law, ordinance or regulotion?......~.~. ...........................................
12. Name of Owner of ~re~ise, Mathilda Walsh z'~'~-e~- Fishers Island NY ok~.~ NO.
Name of Architect ...................................................... Address ............................................ Phone NO .....................
Name of C~ntract~r.....E~h..e.~.~..~.]:.~..~.~.@..~.~.eAddress~.`~:.~.~e.~.s....~.~..~.¥. .......... Phone NO...2.~.1. .............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
descri~_tion to deed, and show ;freer names and indicate
property lines. Give street and block numbers .ct
whether interior or corner lot.
~?. ~o
STATE OF NEW YORK, ) /7'~W~r--l~,l~ //~U~.
COUNTY OF ....~..t~..~.o..]:..if .......... ) S S.'
................................................................................................ being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ....... ~..~.9.~..~...~..:r~.~..~t~h~s..T~land..~az~ts~...Tne .........................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
this application; that all statements contained in this application ore true to the best of his knowledge and belief;
and that the work will be performed in the manner set forth in the application 'Filed therewith.
Sworn to before me this
.......... J ~q.$..b. ...... day of ........... ~.t,Q~. .................... 19...59 ....
(SingZof applicant)
FOI~I~I NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........................................ 19 ........ Permit No .............. . ...................
Disapproved o/c ............................................................................................
........... ....................................................
(BuildiJpg Inspector)
Application No....~..~...J ...........
APPLICATION FOR BUILDING PERMIT
Date !3 ................. .......
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plan showing locution'of lot and of buildings on premises, relationship to adioining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this location.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Up,on approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until o Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Departmen~ for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction, of buildings, additions or alterations, or for removal or demolition, as herein described.
The opp{icont agrees to comply with all applicable laws, ordinances and regulations.
FISNF~S ISLAND FAPJ4S~
(Signature of applicant, or name, Jfa corporation)
Fi~hers Islm~, New York
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder.
~eneral Contractor
of ~,r,=~, ~,~ Mathzlda Waleh
Name of owner ~.
If applicant is a corporate, sig?ature of duly authorized officer.
' ~-' (Name/and title of corporate officer)
1. Location of land on which proposed work will be done. Map No...~..~..~',i~P~.,~aJ ......... Block ..................................
Street and Number
2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction:
~estdenee
a. ~xlsting use and occupancy ..................................................................................................................................
~esidence
b. ~m~e~ded use e~d occupo~cy ................................................................................................................................
3. Nature of work (check which ap~plicable): New Building .................... Addition ......X. ............. Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost .._.~.1..2...O~)...,..0..0.. ....................................... Fee .........$~t.,.0.0. .......................................................................
(to be paid on filing this application)
FEES:
· on~ u e
5. If dwelling, number of dwelling un,ts ............................ N mb r of dwelling units on each floor....°.~'..~ ...................
If garage, number of cars ........................................................................................................................................
6. If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................
24' ....... .2..~! ................ Depth ............................
7. Dimensions of existing structures, if any: Front ............................ Rear 16'
12' One
Height ............................ Number of Stories ..............................................................................................................
Dimensions of same structure with alterations or additions: Front ......... ~, ................... Rear ....... ./* .......................
Depth ~11 Height ............. .1..2.! ............ Number of Stories One .
8. Dimensions of entire new construction: Front ............................ Rear ............................Depth ............................
Height ............................Number of Stories ............................
9. Size of lot: Front 60' Rear /~8' Depth Area?.3'
10. Zone or use district in which premises are s~tuotea ................................................................................................
1]. Does proposed construction violate any zoning law, ordinance or regulation?.....~9 ...........................................
· Mathilda ~/alsh e Fisher~ Ieland N~ Ph,,~o NO .....................
12. Name of Owner of premises ........................................ Addr ss .................................................
Name of Architect ...................................................... Address ............................................ Phone NO .....................
Name of Controctor......~.~.~-?~.~...~.~.a...~l.....~..a..z.'..l~....~..C~ddress ~.~,~.be.~.s....[..~..1.~...~ .......... Phone NO...2..5..! .............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether or proposed, end indicate all set-back dimensions from
property lines. Give street and block numbers or description ~rding to~ deed, and show street names and indicate
interior or corner fat. /v/'~ ~.~,Z>,, \
whether
/
STATE OF NEW YORK, ) ~ ~ ~ ~ ~.
COUNTY .... P .e.A ......... ) s s.,
Harold J. ~
o~ ~d o~e~ o~ o~e~ ~d ~ d~ ~ofized ~o peffo~ o~ H~ve ~o~ed ~e ~*~d ~o~ ~d ~o ~e ~d
Sworn to before me this
.......... .1.~.h. ...... day of ............ ,~.~ .................... 19....~.9. ....
· · ,,,, ,~ ~~' .(~L.~x' ~r-~-~ ount
Notory Pubhc,. ................ .~......,~.. .................................. C y